Contact Information

08/21/2008 10:48 AM
Contact Person:	First Name: Last Name:
Company Name:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Email Address:
WebSite Address:
Type of Organization:	Individual / Sole Proprietor Corporation / Incorporated Partnership Other.....Please Describe:
Financial Interest:	Does an employee or officer of the Ventura County Community College District own, partly own, operate or have a financial interest in this company? Yes No If yes, provide the name of the VCCCD employee or officer:
Commodities:
Comments:

Bidder Registration Form Please completely fill out the following form to be included in our bidder list. Note: Due to the large number of suppliers the Purchasing Department deals with, submitting a Bidder Registration form does not guarantee a bidder will be notified every time a quotation or bid is available. Bidders should routinely check for current opportunities at http://www.vcccd.net/pu_vendor.nsf/current 08/21/2008 10:48 AM
Contact Person:	First Name: Last Name:
Company Name:
Street Address:
City:
State:
Zip:
Phone:
Fax:
Email Address:
WebSite Address:
Type of Organization: (Check One)	Individual / Sole Proprietor Corporation / Incorporated Partnership Other.....Please Describe:
Does an employee or officer of the Ventura County Community College District own, partly own , operate or have a financial interest in this company?	Yes No If yes, provide the name of the Ventura County CCD employee or officer:
Commodities: ( Hold <CONTROL> key to select multiple )
Comments: